Larroquette, Johnathan Theron

Larroquette, Johnathan Theron is an individual health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Larroquette, Johnathan Theron can be contacted via phone (337) 289-7991.

Contact Information

Primary practice address
1214 Coolidge Blvd Lafayette LA 70503-2621
Phone: (337) 289-7991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 234407 Louisiana

Profile Details

NPI number 1073060125
LBN Legal business name Larroquette, Johnathan Theron
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Oct 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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